Fitness for Duty Checklist “I’m Safe”

All Employees need to be fit when reporting for duty. A simple method of ensuring this is to use the ‘I’m Safe’ method to check you are fit for work.

FITNESS FOR DUTY

(‘I’m Safe’)

 All Employees need to be fit when reporting for duty. A simple method of ensuring this is to use the ‘I’m Safe’ method to check you are fit for work. This entails asking the following questions:

‘Fitness for work’ means: being able to answer ‘yes’ to ALL of the ‘I’m Safe’ questions.

Illness	……………….	Am I physically well?
Medication	……………….	Am I free from the effects of medication?
Stress	……………….	Am I free from significant stress?
Alcohol	……………….	Am I free from the effects of alcohol and drugs?
Fatigue	……………….	Have I had enough rest?
Eating	……………….	Have I eaten properly?

By signing on at work you are declaring that you believe you are fit for work.

Please tell your Supervisor if you believe you are unfit for duty due to any lifestyle, health or medical issue both before and during work.

Supervisors can then use FORM 707 – Fatigue Symptoms Checklist – Bus Operators to help ascertain any assistance you may require in consultation with you.